Organization
PINE CASTLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN W MAY (EXECUTIVE DIRECTOR)
(904) 733-2650
Entity
Organization
Contact information
Practice address
4911 SPRING PARK RD, JACKSONVILLE, FL 32207-7456
(904) 733-2650
(904) 733-2681
Mailing address
4911 SPRING PARK RD, JACKSONVILLE, FL 32207-7456
(904) 733-2650
(904) 733-2681
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023-967479
—
FL
05
—
023-967496
—
FL
05
—
023-967498
—
FL
Enumeration date
08/18/2008
Last updated
09/11/2025
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